HomeMy WebLinkAboutPermit Mechanical 2009-7-8
Mechanical Authorization To Begin Work
E-mailedTo:brandy@associatedheating.com
69600-BMC-09-00018
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V~/
City of Springfield
7/8/2009 12 :38 pm
App~o\'al Code: 096044
Check on status of permit
B~ Phone: 541-726-3753 or Emai1: permitccntcr@cLspringlield.or.us
1 0 New Construction
o Addition/alteration/replacement
Destriptiun
Total
>10 ] m 2 f=;]y d~"]h"g 0 ""It;-f,m;]y
o Commercial
o Accessory Building
I First Appliance Fee I.
l~f~_gIAN!~~JJ5~'~BMftf~E,~;;;;;;~?4~, - '~;;= 'L~ "'F,
I Subtotal
I State surcharge (12% ofpel111it,
total)
Teclll101ogylee(5%ofpennit
total)
$79.00
Suite/h1dg./lIpt.no.:
TOTAL PERMIT FEE
$79.00
$9.481
$3.951
",.,,1.
Job Address: 5928 G ST
City/State/ZIP: SPRINGFIELD, OR 97478
Project Name:
Cross Street/directions to job site:
I Taxmap/par~el no.:
O~t;~t\ 'Z.~
InstallducllessH/P
Name: lan Prilchard
Phone: 541-74]-0093
Fax:
Email:
CCBlie.no.: 106275
Business Name: ASSOCIATED HEATING & A]R CONDIT]ONlNG ]NC
Contact:
Address: PO BOX 4]2
City/State1ZIP: EUGENE, OR 97440
Phone: 541-683-2590
Fax: 54]-607-0287
Email;
!\1ettolic. no.:
Citylic.no.:
Upon review and approval by your Jocaljurisdiction, your permit will be
e-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a
permit is not obtained.
The local building deparbnent may determine that an Authorization To
Begin Work is null and void jf it does not meet applicable land use laws
and local ordinances
ThiS Authorizat!on To Begin Work must be posted at the job site until replaced by a Permit
Com1.cr09
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010--0<+
NM
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01004
ISSUED: 07/0812009
APPLIED: 07/08/2009
EXPIRES: 01108/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5928 G ST
ASSESSOR'S PARCEL NO.: 1702342200407
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install dnctless heat pump
Owner: PRITCHARD JANICE A
Address: 5928 G ST
SPRINGFIELD OR 97478
Phone Numher: 541-741-0093
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/31/2010
Phone
54]-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: "
Occupant Load:
n/a
I. DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
" Jo.tal:requires you to
ATTENTION" Orego H~'h"dicapped:,)n Utility
I dopteo IJV 1I1c; -. '"':;I
tollow ru es a rCompact:s are set torth
"Notitication Center. "huoc 'Uh"OAR 952-001-
" OAR 952 001-001Ot roug b
~(\Qn You ~av obtain copie~ of.tt~:~~~:o Y
calling tthe tChen~;~g\~~'uiil';i'; N-otihcation
number or e ? 2344)
SOd C.lk-~"-;^ 1-800-33_- "
I enll ll~ype:
Downspouts/Drains:
I PUBLIC IMPROVEMENTS I
Mf1nCE- "
Street Improvements: .
Storm Sewer AJk;i~i.t)~%IT SHALL EXPIRE IF THE WORK
Special Instruction: " ",.1.,-0 UNDER THIS PERMIT IS NOT
." .;-j']Cm OR IS ABANDONED FOR
, 1" " '",'" PERIOD
'I) ..'..' .....\1 - ,
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calcnlated
Pa~e 1 of2
SP-AINOF,I_ "
- -';"""'''''''~'"'''''ii.I~;",,,,,,,,,,~,,,if'',,,,;,,,,,,
1iI~_- ~"" - - - ."
";l~i, '
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01004
ISSUED: 07/08/2009
APPLIED: 07/08/2009
EXPIRES: 01108/2010
VALUE:
225 fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pairl I
Fee Description
+ 12% State Surcharge
+ 5% Technology fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
. $9.48
$3.95
$79.00
7/8/09
7/8/09
7/8/09
3200900000000000516
3200900000000000516
32009000000000U0516
Total Amount Paid
$92.43
l Plan Reviews I
To Request ail inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will.be made the following
work day. _0
Reouirerll~sne~tions I
final Mechanical: When all mechanical work is complete.
Rough Mechanical: Prior to Cover
By signature, J state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
J further certify that only contractors and employees who are in compliance with ORS 701.005 will.be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 01"2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 004
COM2009-01004
COM2009-0 I 004
Payments:
Type of Payment
ONLINE CHGS
J
cReceintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000516
Date: 07/08/2009
1 :23:32PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
NJM
ONLlNEASSOCIA T Online
ED
$92.43
Payment Total:
$92.43
Page I of I
7/8/2009